| NPI | 1083103238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARROD MEADE Billing/Credentialing 509-822-6777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60786955) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 106H00000X Marriage & Family Therapist | |
| 163WP0808X Registered Nurse Psychiatric/Mental Health | |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2024-10-08 |